Amiri Tehrani Zade Amin, Jalili Aziz Maryam, Majedi Hossein, Mirbagheri Alireza, Ahmadian Alireza
Department of Medical Physics and Biomedical Engineering, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Image-Guided Surgery Group, Research Centre for Biomedical Technologies and Robotics (RCBTR), Tehran University of Medical Sciences, Tehran, Iran.
Int J Comput Assist Radiol Surg. 2023 Aug;18(8):1373-1382. doi: 10.1007/s11548-022-02812-y. Epub 2023 Feb 6.
Accurate needle placement into the target point is critical for ultrasound interventions like biopsies and epidural injections. However, aligning the needle to the thin plane of the transducer is a challenging issue as it leads to the decay of visibility by the naked eye. Therefore, we have developed a CNN-based framework to track the needle using the spatiotemporal features of the speckle dynamics.
There are three key techniques to optimize the network for our application. First, we used Gunnar-Farneback (GF) as a traditional motion field estimation technique to augment the model input with the spatiotemporal features extracted from the stack of consecutive frames. We also designed an efficient network based on the state-of-the-art Yolo framework (nYolo). Lastly, the Assisted Excitation (AE) module was added at the neck of the network to handle the imbalance problem.
Fourteen freehand ultrasound sequences were collected by inserting an injection needle steeply into the Ultrasound Compatible Lumbar Epidural Simulator and Femoral Vascular Access Ezono test phantoms. We divided the dataset into two sub-categories. In the second category, in which the situation is more challenging and the needle is totally invisible, the angle and tip localization error were 2.43 ± 1.14° and 2.3 ± 1.76 mm using Yolov3+GF+AE and 2.08 ± 1.18° and 2.12 ± 1.43 mm using nYolo+GF+AE.
The proposed method has the potential to track the needle in a more reliable operation compared to other state-of-the-art methods and can accurately localize it in 2D B-mode US images in real time, allowing it to be used in current ultrasound intervention procedures.
在活检和硬膜外注射等超声介入操作中,将穿刺针准确放置到靶点至关重要。然而,将穿刺针对准换能器的薄平面是一个具有挑战性的问题,因为这会导致肉眼可见度下降。因此,我们开发了一种基于卷积神经网络(CNN)的框架,利用散斑动力学的时空特征来跟踪穿刺针。
为优化适用于我们应用的网络,有三项关键技术。首先,我们使用冈纳 - 法尔内巴克(GF)作为传统运动场估计技术,用从连续帧堆栈中提取的时空特征增强模型输入。我们还基于最先进的Yolo框架设计了一个高效网络(nYolo)。最后,在网络颈部添加辅助激励(AE)模块来处理不平衡问题。
通过将注射针垂直插入超声兼容的腰椎硬膜外模拟器和股血管通路Ezono测试体模中,收集了14个徒手超声序列。我们将数据集分为两个子类别。在第二个更具挑战性且穿刺针完全不可见的类别中,使用Yolov3 + GF + AE时角度和针尖定位误差分别为2.43±1.14°和2.3±1.76毫米,使用nYolo + GF + AE时分别为2.08±1.18°和2.12±1.43毫米。
与其他现有技术方法相比,所提出的方法有可能在更可靠的操作中跟踪穿刺针,并能在二维B模式超声图像中实时准确地对其进行定位,从而使其可用于当前的超声介入程序。